Healthcare Provider Details

I. General information

NPI: 1346711363
Provider Name (Legal Business Name): TRANSITIONS COUNSELING AND MENTORING SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 MEDICAL CENTER DR STE 200
LARGO MD
20774-3707
US

IV. Provider business mailing address

9500 MEDICAL CENTER DR STE 200
LARGO MD
20774-3707
US

V. Phone/Fax

Practice location:
  • Phone: 301-276-2606
  • Fax: 240-823-9331
Mailing address:
  • Phone: 301-276-2606
  • Fax: 240-823-9331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: EFFIE EVETTE LEE
Title or Position: CEO
Credential: LCPC/LPC
Phone: 301-276-2606